• Coding Auditor & Educator

    WelbeHealth (Richmond, VA)
    …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; ... post-visit chart reviews + Oversee audits and participate in provider education programs to ensure compliance with...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
    WelbeHealth (09/19/25)
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  • Auditor, HCC Risk Adjustment Coding

    Datavant (Richmond, VA)
    …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school… more
    Datavant (08/08/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Richmond, VA)
    …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… more
    Datavant (09/20/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and ... the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key… more
    University of Virginia (10/02/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Richmond, VA)
    …physiology, and medical terminology. + Experience with developing and delivering provider education specific to the clinical documentation requirements for ... correct coding and clinical documentation requirements. + Develop and provide ongoing training and support to health care providers on clinical documentation… more
    Evolent (09/23/25)
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  • Profee Coding Consultant - Full Time…

    Datavant (Richmond, VA)
    …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience are strongly encouraged to apply! **What You Will ... bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an...make a significant impact in the field of medical coding . You will provide essential consulting services… more
    Datavant (09/26/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (VA)
    …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
    Banner Health (09/06/25)
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  • Medical Coding Auditor

    CenterWell (Richmond, VA)
    …Utilizes electronic tools (ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines + Prepares written summaries of ... community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of...audit findings + Presents verbal audit feedback and provides education upon completion of the medical record audit +… more
    CenterWell (10/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Richmond, VA)
    …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. ** Education ** + AA/AS or equivalent experience + ... **Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted… more
    CVS Health (09/27/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Norfolk, VA)
    …Medical Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in ... medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material....5 years of clinical experience; or any combination of education and experience, which would provide an… more
    Elevance Health (09/24/25)
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